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Journals and Conferences
Varicella pneumonia is a relatively rare disease in the reproductive-aged woman, but has a reported 41 percent maternal mortality rate in pregnancy. Seventeen cases managed with intraveneous acyclovir are reviewed. We report successful management with the unpublished addition of oral acyclovir to complete antiviral therapy on an outpatient basis.
We offer this brief report to inform other nursing home medical directors and attending physicians of a possible change in the profile of persons susceptible to H1N1 influenza. If a significant number of cases appear in older persons, the recommendations for H1N1 vaccination may need to be changed to include the elderly.
In summary, as the SHEA/IDSA Joint Committee on Prevention of Antimicrobial Resistance suggested, it should be easier to prevent the acquisition of resistance than to respond after the problem is extensive. We have taken that approach in the measures undertaken and outlined above. Our lower rates of resistant microorganisms are, in part, due to this, but… (More)
Historically, health care worker vaccination has been a strategy to protect the health care worker from infectious work related risk. This article will discuss the transition to health care worker vaccination as a key patient safety initiative for hospitals and health care systems. As the case is evolving toward mandatory influenza vaccination of health… (More)